MEDICARE: SHA LU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1295660116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHA LU

Provider Business Mailing Address
First Line	:	19999 STEVENS CREEK BLVD UNIT 209
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-2368
Country	:	US
Telephone Number	:	669-226-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	19999 STEVENS CREEK BLVD UNIT 209
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-2368
Country	:	US
Telephone Number	:	669-226-2218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “ SHA LU ” Practice Location

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